Nocturnal Asthma: Why Symptoms Worsen at Night and How to Manage It

Nocturnal Asthma: Why Symptoms Worsen at Night and How to Manage It

Have you ever noticed your asthma symptoms flaring up just as you’re trying to sleep? You’re not alone. Nocturnal asthma is a common problem that can leave you waking up coughing, wheezing, and struggling to breathe. But why does this happen, and what can you do about it? Let’s break it down.

Why Do Asthma Symptoms Worsen at Night?

Several factors can contribute to nighttime asthma flare-ups:

• Natural Body Rhythms: Your body’s cortisol levels (which help reduce inflammation) drop at night, making airways more sensitive.
• Lying Down: Gravity can cause mucus buildup and make breathing more difficult.
• Cooler Air: Breathing in cooler air at night can irritate airways and trigger symptoms.
• Allergens in the Bedroom: Dust mites, pet dander, and mold in your bedding or carpet can worsen asthma.
• Reflux Issues: Acid reflux can irritate the airway and trigger asthma symptoms while lying down.

How to Manage Nocturnal Asthma

You don’t have to suffer through sleepless nights. Try these tips to keep asthma under control:

• Use Your Controller Medication: Take your daily inhaler as prescribed to keep inflammation down.
• Adjust Your Sleeping Position: Some people find that propping up their head helps reduce symptoms.
• Control Bedroom Allergens: Wash bedding regularly, use hypoallergenic pillow covers, and consider an air purifier.
• Manage Acid Reflux: Avoid eating large meals before bed and consider raising the head of your bed.
• Check Humidity Levels: Too much humidity can promote mold growth, while dry air can irritate airways. A humidifier or dehumidifier may help.

FAQ: Common Questions About Nocturnal Asthma

Q: Why do I wake up coughing at 3 AM?
A: Your body’s natural rhythm may cause airway inflammation to peak at night. Plus, lying down can worsen postnasal drip and mucus buildup.

Q: Will sleeping with a fan make my asthma worse?
A: It depends. Fans can circulate dust and allergens, but they can also help with air circulation. Try using an air purifier if allergens are a concern.

Q: Should I take my inhaler before bed?
A: If your doctor has prescribed a long-acting bronchodilator or preventive medication, taking it before bed may help. Always follow your doctor’s recommendations.

A Personal Story

A patient of mine, Sarah, struggled with severe nighttime asthma for years. She would wake up gasping for air almost every night. After making a few changes—like elevating her pillow, using an air purifier, and adjusting her medication—her symptoms improved dramatically. Adding a biologic for asthma curtailed the remaining symptoms.  Now, she sleeps through the night without interruptions.

If nocturnal asthma is keeping you up, don’t ignore it! Talk to your doctor about a tailored plan to help you breathe easier at night.

What are you waiting for?  If you or your child need help controlling allergies or if you think you need testing or treatment or that you might be a good candidate for allergy shots, Dr. Wendt and her team staff at Relieve Allergy, Asthma & Hives would love to help. Call for testing or treatment today!

Call 480-500-1902 or request an appointment at https://relieveallergyaz.com/contact now!  Begin your allergy testing journey with Dr. Wendt at Relieve Allergy in Scottsdale, Arizona—It’s time to take care of yourself!

Learn more about Dr. Wendt and Relieve Allergy Asthma & Hives at www.relieveallergyaz.com or connect with us: https://www.facebook.com/RelieveAllergy/, https://www.linkedin.com/in/julie-wendt/, https://x.com/RelieveAllergy, https://www.instagram.com/relieve_allergy/ or https://www.youtube.com/@JulieWendt-qx7jm.

Did you know? Dr. Wendt wrote the book on allergies.  Buy it NOW!

Relieve Allergy Asthma & Hives is located near Kierland Commons, 21803 N. Scottsdale Road Ste. 200, and has convenient evening and morning hours to accommodate your schedule. Dr. Wendt is also available for telemedicine appointments as appropriate. Most insurance plans are accepted.

DISCLAIMER: This blog is not meant to substitute for medical care by an Allergist-Immunologist nor is it intended to provide medical advice or imply a Physician-Patient relationship with its readers or their family. It is intended to provide guidance, direction, and moral support from someone experienced in testing and treating allergies. This is also not meant to be a “do-it-yourself” manual or a “how to” overcome your allergies. Some of the issues mentioned, whether allergic or look-a-like, can be dangerous or if left unchecked, deadly. Please develop a relationship with a Physician you trust to help you with diagnosis, advice, questions, and treatment regarding your and your family’s medical conditions.